Well you’re getting knocked off a horse at speed while wearing metal pants. That’s a very hard landing, and injuries were common.
Even today at reenactments it’s not exactly a safe activity, but the riders will wear modern football-style padding and braces to try and minimize the risk of spine injury and concussion.
In the middle ages the armor was padded out with leather or cloth, which actually did work decently but definitely not every time. If you did get hurt, you’re in the hands of medieval medicine. Results were mixed.
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